Penny Hollander Feldman, Ph.D.

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Penny Hollander Feldman, Ph.D. is Senior Vice President for Research and Evaluation at the Visiting Nurse Service of New York (VNSNY) and Director of the Center for Home Care Policy and Research. At the Center, she oversees a research portfolio focused on improving the quality, outcomes and cost-effectiveness of home-based care, helping older people better manage chronic conditions and problems at home, developing age-friendly communities for a growing older population, and supporting informed policy-making. The translation and implementation of research in both service and policy settings has been an issue of special interest to Dr. Feldman. Among the classic articles she has published in this area are: “Just-in-time evidence-based e-mail ‘reminders’ in home health care: Impact on patient outcomes” Health Services Research, 40(3); "Strengthening research to improve the practice and management of long-term care" [Milbank Quarterly, 81(2)] and "Improving communication between researchers and policymakers in long-term care: Or researchers are from Mars; policymakers are from Venus" [The Gerontologist, 41(3)].

Currently an Associate Professor (Courtesy) in the Department of Public Health at Weill Medical College of Cornell University, Feldman previously served on the faculty at Harvard University in the Department of Health Policy and Management at the Harvard School of Public Health and at the John F. Kennedy School of Government.

Among the major projects Dr. Feldman is currently directing are:

1) CHAMP: Collaboration for Home Care Advances in Management and Practice, which is funded in part through generous grants from The Atlantic Philanthropies and The John A. Hartford Foundation.  The purpose of CHAMP is to advance geriatric home care excellence and to embed in home health agencies the capacity for continuous practice improvement.   CHAMP has the broad endorsement of key industry stakeholders such as the National Association for Home Care and Hospice, the Visiting Nurse Associations of America, and leading home care agencies across the country, and builds on a 4-year experience of demonstrated improvement in key home care processes and patient outcomes.  
2) Using the Care Transitions Measure in Home Care Settings to Improve Outcomes and Reduce Hospital Readmissions, funded by The Commonwealth Fund.   This study will test The Care Transitions Measures to see whether home health care agencies and other post-acute care providers can use it to: 1) assess how well a hospital prepares patients for home care; 2) predict the level of care resources new patients will require; 3) tailor services to patients’ individual needs; and 4) provide hospitals with feedback on their transitional care. The findings will aid efforts to reduce avoidable rehospitalizations and rein in spiraling costs.
3) Improving Medication Management Practices and Care Transitions Through Technology (IMPACT), funded by the Agency for Healthcare Research and Quality.  IMPACT is a randomized, controlled trial in which researchers are testing an innovative IT intervention designed to improve clinical practice and reduce the complexity of patients’ medication regimens. The intervention includes a medication complexity algorithm, a sophisticated alert system to flag patients at risk and electronically notify nurses on mobile computers so that they can avert possible danger, and an electronic decision support tool with specific practice recommendations to aid the nurse in improving medication management for high risk patients.
4) Home-Based BP Interventions for African Americans, with funding from the National Heart, Lung & Blood Institute.  This project is assessing the effectiveness and cost-effectiveness of two organizational interventions aimed at improving blood pressure (BP) control among a high-risk, African American home care population.
5)

Beatrice Renfield Nursing Research Program, funded by The Beatrice Renfield Foundation to promote activities that develop and disseminate new models of home health nursing practice and education. 


Journal Articles and Reports

Pezzin, L.E., Feldman, P.F., Mongoven, J.M., McDonald, M.V., Gerber, L.M., & Peng, T.R. 2010
Improving blood pressure control: Results of home-based post acute care interventions.
Journal of General Internal Medicine . [Epub ahead of print]

Naylor MD, Feldman, P.H., Keating S, Koren MJ,  Kurtzman ET, Maccoy MC,  Krakauer R. 2009
Translating research into practice: transitional care for older adults.
Journal of Evaluation in Clinical Practice 15:1164-1170.

Feldman, P.H., McDonald, M.V., Mongoven, J., Peng, T., Gerber, L., & Pezzin, L.E. 2009
Home-based blood pressure interventions for blacks.
Circulation: Cardiovascular Quality and Outcomes. 2(3): 241-248.

McDonald, M.V., Pezzin, L.E., Peng, T.R., & Feldman, P.H. 2009
Understanding the complexity of hypertensive African American home care patients: Challenges to intervention.
Ethnicity & Disease: 19: 148-153

Naik, D., Totten, A., & Feldman, P.H. 2009.
Promoting excellence in geriatric home care: Proceedings and findings from a national conference.
Caring
. 28(4): 32-36.

Mcdonald, M.V., King, L.J., Moodie M., Feldman P.H., 2008.
Exploring Diabetic Care Deficiencies and Adverse Events in Home Healthcare
Journal of Healthcare Quality 30(6):5-12.

Ryvicker, M., Marren, J., Sobolewski, S., Acampora, T., Flannery, M., Buff, E., Hess, A.M., Rosati, R., Schwartz, T., & Feldman, P.H. 2008.
Spreading Improvement Strategies within a Large Home Healthcare Organization.
Journal for Healthcare Quality. 30(2): 48-58.

Feldman, P., Ryvicker, M., Rosati, R., Schwartz, T., Maduro, G. 2007.
HHA Partnering Collaborative Evaluation: Practice/Policy Brief.
Prepared for the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.

Feldman, P.H., Bridges, J.F.P., & Peng, T. 2007.
Team Structure and Adverse Events in Home Health Care.
Medical Care, 45(6): 553-561.

Feldman, P.H., Clark, A., & Bruno, L. 2006.
Advancing the agenda for home healthcare quality: conference proceedings and findings.
Home Healthcare Nurse, 24(5): 282-289.

Feldman, P.H., & McDonald, M. 2006.
Clinical Guidelines and Recent Research on Hypertension and Heart Failure.
Home Healthcare Nurse, 24(1): 50-53.

Siegler, E.J., Murtaugh, C.M., Rosati, R.J., Clark, A., Ruchlin, H., Sobolewski, S., Feldman, P.H., & Callahan, M. 2006.
Improving the transition to home healthcare by rethinking the purpose and structure of the CMS 485: First steps.
Home Healthcare Services Quarterly, 25(3-4): 27-38.

Feldman, P., McDonald, M., Rosati, R., Murtaugh, C., Kovner, C.T., Goldberg, J.D. & King, L.
Exploring the potential utility of automated drug alerts in home health care.
Journal of Healthcare Quality 28(1): 29-40.

Feldman, P.H., Murtaugh, C.M., Pezzin, L.E., McDonald, M.V., & Peng, T.R. 2005.
Just-in-time evidence-based e-mail "reminders" in home health care: Impact on patient outcomes.
Health Services Research, 40(3): 865-885.

McDonald, M.V., Pezzin, L.E., Feldman, P.H., Murtaugh, C.M., & Peng, T.R. 2005.
Can just-in-time evidence-based "reminders" improve pain management among home heatlh care nurses and their patients?
Journal of Pain and Symptom Management, 29(5): 474-488.

Murtaugh, C.M., Pezzin, L.E., McDonald, M.V., Feldman, P.H., &Peng, T.R.2005.
Just-in-time evidence-based e-mail "reminders" in home health care: Impact on nurse practices.
Health Services Research, 40(3): 849-864.

Stone, P.W., Harrison, M.I., Feldman, P., Linzer, M., Peng, T., Roblin, D., & Scott-Cawiezell, J. 2005.
Advances in patient safety: From research to implementation. Volumes 1-4, AHRQ Publication Nos. 050021 (1-4)
Rockville, MD: Agency for Healthcare Research and Quality.

Feldman, P.H. 2004.
Improving care for older people in the home health care setting: Challenges for practice, education and policy.
National Advisory Council on Nurse Education and Practice; Fourth Report to the Secretary of Health & Human Services and the Congress.

Oberlink, M., Gursen, M., Simantov, E., & Feldman, P.H. 2004.
Livable communities for adults with disabilities.
Washington, DC: National Council on Disability.

Feldman, P.H., Peterson, L.E., Reische, L., Bruno, L., & Clark, A. Fall 2004. Charting the course for home health care quality: Action steps for achieving sustainable improvement. Conference Proceedings.
Home Healthcare Nurse, 22(12): 841-850.

Feldman, P.H., Oberlink, M.R., Simantov, E., & Gursen, M.D., 2004
A tale of two older Americas: Community opportunities and challenges. The AdvantAge Initiative 2003 National Survey of Adults Aged 65 and Older.
New York: The Center for Home Care Policy and Research, Visiting Nurse Service of New York.

Feldman, P.H., & Ahrens, J. Fall 2004.
Leveraging resources for home- and community-based services in a time of fiscal retrenchment. Conference Report.
New York: Center for Home Care Policy and Research, Visiting Nurse Service of New York.

Feldman, P.H. 2004.
Interview with a quality leader: Penny Feldman on home healthcare quality and research.
Journal for Healthcare Quality, 26(3): 31-37.

Feldman, P.H., Peng, T.R., Murtaugh, C.M., Kelleher, C., Donelson, S.M., McCann, M.E., & Putnam, M.E. 2004.
A randomized intervention to improve heart failure outcomes in community-based home health care.
Home Healthcare Services Quarterly, 23(1): 1-23.

Feldman, P.H.& McDonald, M.V. 2004.
Conducting translation research in the home care setting: Lessons from a just-in-time reminder study.
World Views on Evidence Based Nursing, 1(1): 49-59.*
* This is an electronic version of an article published in Worldviews on Evidence-Based Nursing. Complete citation information for the final version of the paper, as published in the print edition of Worldviews on Evidence-Based Nursing, is available on the Blackwell Synergy online delivery service, accessible via the journal's website at www.blackwellpublishing.com/wvn or www.blackwell-synergy.com

Feldman, P.H., Oberlink, M., Rudin, D., Clay, J., Edwards, B. and Stafford, P.B. 2003.
Best practices: Lessons for communities in supporting the health, well-being, and independence of older people. AdvantAge Initiative Website.

Feldman, P.H., and Oberlink, M. 2003.
The AdvantAge Initiative: Developing community indicators to promote the health and well-being of older people.
Family and Community Health Journal, 26(4): 268-274.

Feldman, P.H., Kane, R.L. 2003.
Strengthening Research to Improve the Practice and Management of Long-Term Care Milbank Quarterly.
Milbank Quarterly, 81(2): 179-220.

Rosati, R.J., Huang, L., Navaie-Waliser, M., & Feldman, P.H. 2003.
Risk factors for repeated hospitalizations among home health care recipients.
Journal of Healthcare Quality, 25(2): 38-45.

Nadash, P. and Feldman, P.H. 2003.
The effectiveness of a "restorative" model of care for home care patients.
Home Healthcare Nurse, 21(6): 421-423.

Feldman, P.H. Summer 2003.
Review: No place like home: A history of nursing and home care in the United States.
Contemporary Gerontology, 9(3).

Navaie-Waliser, M., Spriggs, A., & Feldman, P.H. 2002.
Informal caregivers as long-term care providers: Differential experiences by gender.
Medical Care, 40(12): 1249-1259.

Peng, T.R., Navaie-Waliser, M., and Feldman, P.H. 2002.
Social support, service use, and health outcomes among elders in home health care: Similarities and disparities by race/ethnicity.
The Gerontologist, 43(4).

Navaie-Waliser, M., Feldman, P.H., Gould, D.A., Levine, C., Kuerbis, A.N., and Donelan, K. March 2002.
When the caregiver needs care: The plight of vulnerable caregivers
American Journal of Public Health, 92(3): 409-413.

Feldman, P.H., Nadash, P., and Gursen, M. 2001.
Improving communication between researchers and policy makers in long-term care: Or, researchers are from Mars, policy makers are from Venus.

New York, NY: Center for Home Care Policy and Research, Visiting Nurse Service of New York.

Navaie-Waliser, M., Feldman, P.H., Gould, D.A., Levine, C., Kuerbis, A.N. and Donelan, K. 2001.
The experiences and challenges of informal caregivers: Common themes and differences among Whites, Blacks, and Hispanics.

The Gerontologist, 41(6):733-741.

Feldman, P.H., Nadash, P., and Gursen, M. 2001.
Improving communication between researchers and policy makers in long-term care: Or, researchers are from Mars, policy makers are from Venus.

The Gerontologist, 41(3):312-321.

Meredith, S., Feldman, P., Frey, D., Hall, K., Arnold, K., Brown, N. J., and Ray, W.A. 2001.
Possible medication errors in home health care.
Journal of the American Geriatrics Society, 49(6): 719-724.

Donelson, S., Murtaugh, C., Feldman, P., et al. March 2001.
Clarifying the definition of homebound and medical necessity using OASIS data.
Final Report prepared for the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (Contract #HHS-100-99-0020). New York, NY: Center for Home Care Policy and Research, Visiting Nurse Service of NY.

Davidson, H., Schluger, N., Feldman, P., Valentine, D., Telzak, E., and Laufer, F. 2000.
The effects of increasing incentives on adherence to tuberculosis directly observed therapy.

International Journal of Tuberculosis and Lung Disease, 4(9): 860-865.

Stevenson, D., Murtaugh, C., Feldman, P., and Oberlink, M. Fall/Winter 2000. Expanding publicly financed assisted living and other residential alternatives for disabled older persons: Issues and options. Policy Brief. New York, NY: Center for Home Care Policy and Research.

Stevenson, D., Murtaugh, C., Feldman, P., and Oberlink, M. Fall/Winter 2000. Expanding publicly financed managed long-term care programs to provide greater access to home and community-based care. Policy Brief.
New York, NY: Center for Home Care Policy and Research.

Murtaugh, C., Stevenson, D., Feldman, P., and Oberlink, M. Fall/Winter 2000. State expenditures on home and community-based care for disabled elders. Fact Sheet.
New York, NY: Center for Home Care Policy and Research.

Levine, C., Kuerbis, A.N., Gould, D.A., Navaie-Waliser, M., Feldman, P.H., and Donelan, K. 2000.
A survey of family caregivers in New York City: Findings and implications for the health care system.
New York: The United Hospital Fund.

Donelson, S. and Feldman, P. 2000.
How to determine if PPS will provide adequate resources for your population: One agency's experience.

Home Healthcare Nurse, 18(6): 363-369.

Murtaugh, C., Sparer, M., Feldman, P., Lee, J.S., et al. 1999
State strategies for allocating resources to home and community-based care.

Final report submitted to the Robert Wood Johnson Foundation.

Fulmer, T., Feldman, P., Kim, T.S., Carty, B., Beers, M., Molina, M., and Putnam, M. 1999.
An intervention study to enhance medication compliance in community-dwelling individuals
.
Journal of Gerontological Nursing, 25(8): 6-14.

Feldman, P. 1999.
Doing more for less: Advancing the conceptual underpinnings of home-based care. Introductory essay.

11(3): 261-276. Special Issue on Long-Term Care. Journal of Aging and Health, ed. P. Feldman. Thousand Oaks, CA.: Sage Publications.

Feldman, P. 1998.
Work force issues and quality of long-term care.
Commissioned by the Committee on Improving Quality in Long-Term Care, Division of Health Care Services, Institute of Medicine as a background document for Wunderlich, G.S., and Kohler, P., Editors; Improving the quality of long-term care, National Academy Press, 2001.

Feldman, P., Gold, M., and Heiser, N. 1998.
Improving the use of data in health policymaking: Lessons from RWJFÌs Information for State Health Policy Program.

Washington, DC: Mathematica Policy Research, Inc.

Feldman, P., Donelson, S., and Gagen, D. 1997.
Evaluating outcomes in the home care setting.

Monitor, Medical Outcomes Trust, Boston, MA. 2(4): 14-16.

Feldman, P., Latimer, E., and Davidson, H. 1997.
Reply to Hornbrook on doing policy-relevant evaluation research.

Health Services Research, (32)1: 123-125.

Feldman, P. 1997.
State variations in Medicare expenditures. An editorial.

American Journal of Public Health, 87(10): 1595-1596.

Feldman, P., Gold, M., and Chu, K. 1997.
State health policy information: What worked?
Health Affairs, 16(1): 207-210.

Feldman, P. and Bishop, C. 1997.
Medicare home health care services. Letter to the Editor.

New England Journal of Medicine, 336(3): 226.

Feldman, P. and Murtaugh, C. 1997.
Medicare home health payment reform. Letter to the Editor.

Health Affairs, 16(2): 260-261.

Feldman, P., Latimer, E., and Davidson, H. 1996.
Medicaid-funded home care for the frail elderly and disabled: evaluating the cost savings and outcomes of a service delivery reform.

Health Services Research, 31(4): 487-506.

Feldman, P. ed. 1994.
On the Home Front: The Job fo the Home Aide.

Generations, 18(3): 16-19

Feldman, P. 1994.
"Dead-end" work or motivating job? Prospects for frontline paraprofessional workers in long-term care.

Generations, 18(3): 5-10.

Feldman, P., Sapienza, A., and Kane, N. 1994.
On the home front: The job of the home aide.

Generations, 18(3): 16-19.

Feldman, P., Gold, M., and Chu, K. 1994.
Enhancing information for state health policy formation.

Health Affairs, 18(2): 236-250.

Davidson, H., Feldman, P., and Crawford, S. 1994.
Measuring depressive symptoms in the elderly.

Journal of Gerontology: Psychological Sciences, 49(4): 159-164.

Feldman, P. 1993.
Labor market issues in home care
.
Harvard University, John F. Kennedy School of Government: Faculty Research Working Paper Series, R94-3.

Feldman, P. 1993.
Work life improvements for the home aide work force: impact and feasibility.

The Gerontologist, 33(1): 47-54.

Feldman, P., Putnam, S., and Gerteis, M. 1992.
Foundation-funded commissions and their impact on health policy.

Health Affairs, 11(4): 207-225.

Feldman, P. and Zacker, H. 1991.
Key issues in the survival and implementation of the Massachusetts Health Security Act.

Harvard School of Public Health.

Feldman, P. 1991.
Worker recruitment and retention in the home care industry: Strategies for averting a future worker shortage.

Invitational Conference on Home Care Personnel Issues, Bigel Institute for Health Policy, Brandeis University.

Feldman, P. 1990.
Report on the New York City Field Support Demonstration
.
Harvard School of Public Health (For the New York City Human Resources Administration).

Feldman, P. 1989.
The Ford Home Care Project: Reducing turnover among paraprofessionals.

Caring, 8(2): 28-29.

Stoto, M., Blumenthal, D., Durch, J., and Feldman, P. 1988.
Federal funding for AIDS: Decision process and results. Background paper for Committee on a National Strategy for AIDS, Institute of Medicine.

Review of Infectious Diseases, 10(2): 406-419.

Feldman, P. and Gerteis, M. 1987.
Private insurance for Medicaid recipients: the Texas experience.

Journal of Health Policy, Politics and Law, 12(2): 271-298.

Feldman, P. 1985.
Impact of the maternal and child health block grant on programs for the poor, 1981-1983.

Harvard School of Public Health.

Feldman, P. 1985.
Medicaid managed care: an early assessment.

Harvard University, School of Public Health.

Books/Chapters in Books

Feldman, P.H., Nadash, P., and Gursen, M.D. 2007.
Long-term Care.
In: Jonas and Kovner's Health Care Delivery in the United States (9th ed.), A.R. Kovner and J.R. Knickman, (Eds).
New York: Springer Publishing Company.

Feldman, P.H., Nadash, P., and Gursen, M.D. 2005.
Long-term Care.
In: Jonas and Kovner's Health Care Delivery in the United States (8th ed.), A.R. Kovner and J.R. Knickman, (Eds).
New York: Springer Publishing Company.

Pynoos, J., Feldman, P.H., & Ahrens, J. (Eds.). 2005.
Linking housing and services for older adults: Obstacles, options, and opportunities.
Binghamton, NY: The Haworth Press, Inc.
To view the introduction and first chapter in their entirety, please click here.

Feldman, P., Nadash, P., and Gursen, M.D. 2002.
Long-term Care.
In: Jonas and Kovner's Health Care Delivery in the United States (7th ed.), Kovner, A.R. and Jonas S., eds.
New York: Springer Publishing Company.

Feldman, P. 1999.
From post-acute to chronic care: Cost and policy implications of Medicare home health expansion.

In: Advances in Long-Term Care. Vol. IV, Katz, P., Kane, R., Mezey, M., eds.
New York: Springer Publications.

Feldman, P. 1999.
Labor market issues in home-based care
.
In: Home-Based Care for a New Century, Fox, D. and Raphael, C., eds. Cambridge, MA: Blackwell Publishers.

Feldman, P., Sapienza, A., and Kane, N. 1990.
Who Cares for Them? Workers in the U.S. Home Care Industry, Connecticut: Greenwood-Praeger Press.

Feldman, P. and Sapienza, A. 1989.
Quality of work life in the home care industry
.
In: Human Resource Management in the Health Care Sector: Guide for Administrators and Professionals, Sethi, A. and Schuler, R., eds. Connecticut: Greenwood Press.

Feldman, P. 1987.
Recruiting an Elite: Admission to Harvard College.

New York: Garland Publishing Co.

Greenberg, G. and Feldman, P. 1985.
New Federalism and state support for technology assessment.

In: Assessing Medical Technologies, Institute of Medicine. Washington, D.C.: National Academy Press.

Blumenthal, D., Feldman, P., and Zeckhauser, R. 1981.
Misuse of technology: A symptom, not the disease.

In: Critical Issues in Medical Technology, McNeil, B, ed. Massachusetts: Auburn House.

Feldman, P. and Roberts, M. 1980.
Magic bullets or seven card stud: Understanding health care regulation.

In: Issues in Health Care Regulation, Gordon, R., ed. New York: McGraw-Hill.

Feldman, P. 1980.
The impact of third party payment on professional practice: Lessons from the Medical profession.

In: Regulating the Professionals: A Public Policy Symposium, Blair, R. and Rubin, S., eds. Lexington, MA: Lexington Books/D.C. Heath.

Feldman, P. and Zeckhauser, R. 1978.
Some sober thoughts on health care regulation.

In: Regulating American Business, Argyris, et al. San Francisco, CA: Institute of Contemporary Studies, 93-123.

Reviews

Medicaid decisions: A systematic analysis of the cost problem.
In: Social Service Review. December, 1981.

Strategic planning in health care management.
In: New England Journal of Medicine. 1981. 305(25): 1535-1536.

Health care systems and comparative manpower policies.
In: New England Journal of Medicine, 1981. 305(25): 1535.

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